Losson, Bertrand[Université de Liège - ULg > Département des maladies infectieuses et parasitaires > Parasitologie et pathologie des maladies parasitaires >]
Meeting of The Belgian Society for Parasitology
19 Juin 2009
[en] Llama ; Sarcoptes scabiei ; moxidectin
[en] An adult neutered male llama (Lama glama) was presented for examination with a history of a severe long lasting (3 years) and recurrent itch and crust formation. Three years ago, scabies had been diagnosed by a local vet on the basis of clinical signs; the animal was treated several times with ivermectin (Ivomec®) injectable and phoxim (Sarnacuran®). After each treatment there was a marked clinical improvement but relapse was the rule within 1 to 2 months. During the two years preceeding our first visit the animal had received local applications of Sarnacuran every two to three weeks wich resulted in incomplete control. None of the owners had reported skin lesions compatible with scabies. On February 27th 2009 the animal showed a marked pruritus accompanied by very thick scabs and alopecia on the face (around the mouth and ears), shoulders, forelegs, hindlegs, abdomen, flanks and the tail. Clinical examination revealed a fairly good general condition. Abnormalities were limited to the skin. Skin scrapings were taken and numerous Sarcoptes scabiei mites were subsequently detected microscopically. Sedation and analgesia were performed via the intramuscular administration of xylazine (Vexylan®) at 0.5 mg/kg. The scabs were humidified with a camomile infusion and a maximum of material was removed and destroyed. Then the llama was treated with 10% moxidectin (Cydectin LA®) at 1 mg/kg by subcutaneous injection at the basis of the ear. On April 6th 2009, a very marked clinical improvement was observed: most of the scabs had dissapeared and hair regrowth in previously alopecic area was observed. Skin scrapings were negative. However, some pruritus was still observed and a second treatment with Cydectin LA was given. According to the owner who was contacted by phone in early May the clinical condition of the animal has further improved. A final visit is planned to assess the clinical and parasitological cure in this S. scabiei infected llama. At our knowledge, this is the first time Cydecin LA is used in llama for the treatment of scabies.